Jump to content
×
Are you looking for the BariatricPal Store? Go now!

help.. primary vs secondary ins



Recommended Posts

Hi all.. Im confused and frustrated. I have a primary and a secondary insurance. First I was told that neither required the medically supervised diet, so I thought I was good to go... I thought I'd be having surgery in a couple of months. Now another insurance rep for my primary is saying that I DO need to do a 6 month supervised diet. Does anyone know if I can just use my secondary insurance so I can have surgery soon.

Share this post


Link to post
Share on other sites

Sorry to say, probably not. The secondary will only cover what the primary wont cover depending on your plan. They will still require you to go through your primary company first and meet their requirements....wish I had better news. I have been in the insurance field for over 25 years and it has always been this way.....but there is a first time for everything. You could always contact your 2nd directly and ask them. Good luck!

Share this post


Link to post
Share on other sites

Thanks for the reply! I just want a straight forward answer. If I have to do the 6 months of weigh ins.. Fine, but do I have to or not. I'm sure you know the run around you get with these insurance companies

Sent from my iPhone using VST

Share this post


Link to post
Share on other sites

I have a primary and secondary insurance. My primary required 3 months supervised diet and the secondary required 6 months supervised diet. I had to do all 6 months even though my primary didn't require it. I am paying out of pocket for the 3 months that went beyond my primary since my secondary has a big deductible to meet before they pay. I just finished my 6th appointment on Tuesday. Honestly the 6 months was worth it for me and it flew by. I'm not having surgery until August as a personal decision though.

Share this post


Link to post
Share on other sites

@Brenda0928. Question: I have Cigna as a primary and BCBS of Illinois as a secondary. When I called BCBS to ask about their coverage is seemed like there were alot of loopholes. I was wondering if I had the option to only use my primary insurance instead of using both.

Share this post


Link to post
Share on other sites

@Brenda0928. Question: I have Cigna as a primary and BCBS of Illinois as a secondary. When I called BCBS to ask about their coverage is seemed like there were alot of loopholes. I was wondering if I had the option to only use my primary insurance instead of using both.

Sorry just saw this, feel free to private message me if I don't reply on the future.....you might be able to use just your primary coverage and pay any difference but it does not work the other way around.....meaning you could not use only your secondary.....let your dr and primary know that you may not use the secondary to see if there are any limitations or price breaks...there is not usually any rule saying you "have to" use the secondary.......good luck!!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×